Individual provider Active NPI

Celia Williams, D.O.

  • Pediatrics Physician
  • Brandon, FL
National Provider Identifier
1881989770
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS14464 Issued in FL
Practice address
901 E Bloomingdale Ave Ste 501
Brandon, FL 33511-8118
Phone
(813) 699-3995
Fax
(813) 315-1625
NPI assigned
Jun 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB08949600 NJ
Pediatrics Physician 208000000X OS14464 FL Primary

Addresses

Primary practice location

901 E Bloomingdale Ave Ste 501
Brandon, FL 33511-8118

Mailing address

900 S Pine Island Rd Ste 800
Plantation, FL 33324-3923
Phone (954) 967-6400

Other identifiers 1

IdentifierTypeStateIssuer
021142800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address celia.williams@pedsassoc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS14464FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saltzman, Tanis, Pittell, Levin and Jacobson, LLC Pediatrics CurrentSince Dec 3, 2023 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Past Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics PastSince Jan 10, 2021 Accepting new patients

Locations

901 E Bloomingdale Ave
Ste 501
Brandon, FL 33511
Phone (813) 699-3995

900 S Pine Island Rd
Ste 800
Plantation, FL 33324
Phone (954) 967-6400

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1881989770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ISLAND RD STE 800",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243923",
            "telephone_number": "954-967-6400",
            "fax_number": "954-965-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 E BLOOMINGDALE AVE STE 501",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118118",
            "telephone_number": "813-699-3995",
            "fax_number": "813-315-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CELIA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-18",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB08949600",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS14464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021142800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "celia.williams@pedsassoc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "901 E Bloomingdale Ave Ste 501",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335118118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.